Skin Infections and Infestations Flashcards

1
Q

What is folliculitis?

A
  • follicular erythma or pustules
  • can be infectious or non-infectious
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2
Q

What is the main cause of recurrent infectious folliculitis?

A

Staph aureus strains expressing PVL

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3
Q

What is the main cause of eosiniphilic non-infectious folliculitis?

A

HIV

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4
Q

What are the treatments for follliculitis?

A
  • antibiotics (flucloxacillin or erythromycin)
  • incision and drainage of furuncles
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5
Q

What is a furuncle?

A

Deep follicular abcess

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6
Q

What is a carbuncle?

A
  • furuncle that has involvement with adjacent follicles
  • more likely to lead to complications
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7
Q

What is PVL?

A
  • panton valentine leukocidin
  • pore-forming exotoxin
  • causes leukocyte destruction and tissue necrosis
  • has higher morbidity, mortality and transmissability than other strains of staph
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8
Q

What are the 5 risks of acquiring PVL Staph aureus?

A
  • close contact
  • contaminated items
  • crowding
  • cleanliness
  • cuts and grazes
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9
Q

What is the treatment of PVL Staph aureus?

A
  • antibiotics (tetracycline)
  • chlorhexidine body wash
  • nasal mupirocin ointment
  • treatment of close contacts
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10
Q

What is cellulitis?

A
  • infection of lower dermis and subcutaneous tissue
  • tender swelling with ill-defined erythma and oedema
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11
Q

What are the most common causes of cellulitis?

A
  • streptococcus pyogenes
  • staphylococcus aureus
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12
Q

What is the treatment of cellulitis?

A

Systemic antibiotics

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13
Q

What is impetigo?

A
  • superficial bacterial infection
  • honey-covered crusts overlaying erosion
  • often affects face
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14
Q

What causes impetigo?

A
  • streptococci (non-bullous)
  • staphylococci (bullous)
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15
Q

What is borreliosis?

A

Lyme disease

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16
Q

What are the symptoms of borreliosis?

A
  • annular erythma around site of tick bite
  • multiple secondary lesions
  • facial palsy
  • aseptic meningitis
  • polyradiculitis
  • arthirits
  • carditis
17
Q

What is syphilis?

A
  • Treponema pallidum
  • starts with chancre - painless ulcer with firm border
  • painless regional lymphadenopathy one week after primary chancre
17
Q

What happens in secondary syphilis?

A
  • starts ~50 days after primary chancre
  • malaise
  • fever
  • headache
  • itchiness
  • loss of appetite
  • pityriasis rosea-like rash
  • alopecia
  • mucous pathces
  • hepatosplenomegaly
18
Q

What is lues maligna?

A
  • rare manifestation of secondary syphilis
  • skin lesions with necrotising vasculitis
  • more frequent in HIV
19
Q

What happens in tertiary syphilis?

A
  • gumma skin lesions
  • mucosal lesions destroy nasal cartilage
  • cardiovascular disease
  • neurosyphilis
20
Q

How is syphilis diagnosed?

A
  • clinical findings
  • serology
  • strong index of suspicion
21
Q

How do you treat syphilis?

A

IM benzylpenicillin or oral tetracycline

22
Q

What is herpes simplex virus?

A
  • virus which causes recurrent vesicular eruptions
  • favours orolabial and genital regions
  • transmission can occur during asymptomatic viral shedding
  • replicates at mucocutaneous site of infection
23
Q

How is HSV transmitted?

A
  • HSV-1 = direct contact eith contaminated saliva or other secretions
  • HSV-2 = sexual contact